APPLICATION FORM

2023
NEW STUDENTS ONLY

Please complete the entire form in print and black ink.

National Certificate Vocational (NCV) Report 191 Business Studies Report 191 Engineering Studies PLP

At which campus would you like to study?

Maluti Mt Fletcher Mt Frere Campus Ngqungqushe Campus Siteto
Campus Campus Campus

Capture student number below

National Certificate Vocational (NCV) REPORT 191

Level 2 Level 3 Level 4 N N2 N3 N4 N5 N6

1
Civil Engineering & Building Construction Business Management
Electrical Infrastructure Construction Civil Engineering
Engineering & Related Design Electrical Engineering
Finance, Economics & Accounting Financial Management
Generic Management Human Resources Management
Information Technology & Computer Science Legal Secretary
Marketing Management Assistant
Office Administration Marketing Management
Mechanical Engineering
Public Management
Farming Management

PROGRAMME: PRE-VOCATIONAL
LEARNING
Foundational English
Foundational Maths
Foundational Science
Foundational Life Skills and Technology

Have you been enrolled in a PLP before YE NO

S
 SECTION A: PERSONAL DETAILS

ID Number Date of birth

Title Mr Ms Other Specify Initials

Surname Maiden Name, if

applicable

Full Names

Home Tel
Cell

Email address

Bursary assistance required Yes No

SECTION B: BIOLOGICAL INFORMATION

Nationality

Home IsiXhosa English IsiZulu Afrikaans Other

Language ( specify)

Preferred Language

Gender Male Female

Ethnic Black White Coloured Indian Other

Group African (specify)

Marital Status Single Married Divorced Widowed

Citizenship

South African Permanent resident

If you are not a South African citizen please indicate

Study permit ____________________________________

Passport number_________________________________ Expiry date

SECTION C: EMPLOYMENT DETAILS (IF APPLICABLE)

Name of Employer/
Business

Account to Employer Yes No

Postal Code

Employer’s/
Business Address
 Postal Code

Employer’s/
Business Postal Address

ADDITIONAL COMMENTS
________________________________________________________________________________________________
________________________________________________________________________________________________
__________________________________________________________________________

Occupation Work Telephone Number

SECTION D: SCHOOL LEAVING DETAILS

Last School attended Examination Date

Matric Date Grade 9 Grade 10 Grade 11 Grade 12

NB: Please attach a copy of your academic results or school report and I.D. Copy
Please tick

Previous Year Activity

At this College Other College

University Technical College

Technikon Higher Education

Unemployed Secondary School

Foreign Education Working

SECTION E: STUDENT ADDRESS

Physical Address Postal Address

Postal Code Postal Code

SECTION F: DISABILITIES/SPECIAL NEEDS

Please tick where applicable.

Blindness or Special Sighted Low Vision

Deafness Hearing (Even with hearing aid)

Epilepsy Intellectually disabled

 Psychiatric disorder Physically challenged

Cerebral Palsy Other Specify

Allergies/ Health Problems

Contact Person Contact No
Dr Name Dr Tel

SECTION G: INFORMATION OF PERSON(S) RESPONSIBLE FOR PAYMENT OF ACCOUNT

(PARENT/GUARDIAN/EMPLOYER/INSTIUTION)

Parent/ Guardian Relationship

Physical Address Postal

Address

Postal Code Postal Code

Occupation

Work Tel
Home Tel
Cell

Please attach a certified ID copy of parent or guardian

Accommodation needed Yes No
If yes, please request hostel application form

SECTION H: TERMS AND CONDITIONS

 A student may not damage or interfere with the property of the College and others including students, staff and
members of the public on the College premises;
 In that case the student will be held liable for any damage
 A student is responsible for the care and safe keeping of all the resources
 Equipment’s that are issued to students should be returned back to the College including textbooks etc.
 No firearms, traditional weapons of any kind of dangerous weapons allowed on the College premises.
 A student’s general behaviour should at all times not discredit the College reputation.
 The College has a right to do a random searching at any time, without warning; order a search for illegal
substances by the staff, security, police or a relevant section at the South African Police Services.
 A student has to inform the Campus Management/ registration unit in writing of any change in residential or
postal addresses.
 Students will obey all reasonable instructions given to him/her by any member of the academic or administrative
staff of the College.
 All cellular phones must be switched off during lecturing hours.
 The College is not responsible for stolen goods.
 Smoking is prohibited inside and at the premises of the College buildings, it is only allowed to designated areas.
 Right of Admission to the College is reserved.

SECTION I: DECLARATIONS

I HEREBY DECLARE:

 That the particulars furnished by me above in this application form are true and correct;
 That I undertake as a registered student of the College to abide by all the rules and regulations of the INGWE
TVET College, including any amendments thereto and any substitutions
 thereof; that I undertake to pay all class and other fees punctually;
  That 80% class attendance in all subjects is required at INGWE TVET College for admission to exams and a
term mark of 40% for Report 191 subject & for NCV subjects as per DoE Policies;
 That I undertake to let the College know of any changes to the information above, within 14 days after
registration;
That it is my responsibility to confirm exam dates;
 That it is my responsibility to make enquiries about my results (when it is available).

Signature --------------------------------------- Date-------------------------------------------

Student

Signature---------------------------------------- Date--------------------------------------------
Parent/Guardian

SECTION J: CHECKLIST(OFFICE USE ONLY)

LECTURER USE ONLY

Please write the student subject to be enrolled for:

NCV COLLEGE ACCOUNT DETAILS

Account Name: Ingwe TVET College

Bank Name: Standard Bank
Account Number: 082097097
Reference: Student Number/ ID Number

REPORT 191 PROGRAMME: PRE-VOCATIONAL

LEARNING

Signature Date
Form Checked
Student accepted
Student not accepted
Student number captured
Comments

_____________________
Signature: HOD
_____________________
Signature: Data Capturer
IMPORTANT
This form should be accompanied by
 Certified copy of school leaving results
 Certified copy of identity document
 Certified copy of parent or legal guardian ID
________________________
Date